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Anthem dental plan vent...
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MrsBurtch525
Year for change!
Member since 1/09 6017 total posts
Name:
Taryn
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Anthem dental plan vent...
I had a cleaning...$79.00. I have $1,171.00 available for the year, i need no work but need a flipper to keep 2 spaces open for implants next year and the insurenace will cover NONE of it. I just don't get it, that $1,171.00 will sit there and go unused because they won't cover a dental appliance that is needed. Why not just let me use it up and after my alloted $1,250 per year i will pay out of pocket for the rest? Why do they have to deny my request when i have the benefits available...so frustrating!
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Posted 1/31/11 5:38 PM  |
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nrcsr
LIF Infant
Member since 5/05 186 total posts
Name:
Nenette
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Re: Anthem dental plan vent...
per DH (used to work for Anthem), implants may fall into cosmetics and not medically necessary
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| Posted 1/31/11 9:49 PM |
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jandt2006
LIF Adult
Member since 8/05 1338 total posts
Name:
Teresa
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Re: Anthem dental plan vent...
ask your dentist to send in a reconsideration claim with a letter stating why u need it, or u should call the insurance company and explain your situation.
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| Posted 2/1/11 8:00 PM |
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MrsBurtch525
Year for change!
Member since 1/09 6017 total posts
Name:
Taryn
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Re: Anthem dental plan vent...
Posted by nrcsr
per DH (used to work for Anthem), implants may fall into cosmetics and not medically necessary
That's the thing, they WILL cover part of the implants but won't cover anything for the flipper appliance to keep the 2 spaces open until i can get the implants next year...
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| Posted 2/2/11 7:58 AM |
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dawnygirl25
Growing up soo fast..
Member since 1/06 14917 total posts
Name:
Dawn
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Re: Anthem dental plan vent...
Posted by MrsBurtch525
Posted by nrcsr
per DH (used to work for Anthem), implants may fall into cosmetics and not medically necessary
That's the thing, they WILL cover part of the implants but won't cover anything for the flipper appliance to keep the 2 spaces open until i can get the implants next year...
its because the flipper is temporary. Most insurances wont cover temporary things. Like if you get a bridge - they will cover the permanent but not the temp one that the dentist makes you. (I work in a dental office)
ETA - you can ask the office manager to send out a letter to the insurance asking them to reconsider, but because a flipper is only temporary they may not approve it. But - cant hurt to try right?
Message edited 2/2/2011 8:08:05 AM.
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| Posted 2/2/11 8:06 AM |
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